社区高血压糖尿病共病老年人未来照顾准备研究进展
Research Progress on Preparation for Future Care among Community-Dwelling Older Adults with Hypertension-Diabetes Mellitus Comorbidity
DOI: 10.12677/ns.2026.154110, PDF,   
作者: 王金敏, 柴守霞*, 董丽君, 黄 蔷：湖北医药学院护理学院，湖北 十堰；赵雯琪：十堰市卫生健康委员会基层卫生健康科，湖北 十堰；刘 俊：湖北医药学院附属人民医院男科，湖北 十堰
关键词: 高血压糖尿病共病；未来照顾准备；老年人；社区护理；Hypertension-Diabetes Mellitus Comorbidity； Preparation for Future Care； Older Adults； Community Nursing
摘要: 高血压糖尿病共病(Hypertension-Diabetes Mellitus, HTN-DM)是老年人群最常见的慢性病共病类型之一，其临床负担和功能衰退风险显著高于单病患者。未来照顾准备(Preparation for Future Care, PFC)作为促进健康老龄化的重要行为，强调个体及家庭在健康尚可或疾病早期阶段，主动规划潜在照护需求、信息收集、经济与资源筹备以及家庭沟通与行动落实。本文综合国内外研究，系统梳理HTN-DM共病老年人PFC的理论基础、概念内涵、测量工具、影响因素及干预策略。结果显示，PFC水平与老年人的自理能力、生活质量及医疗利用密切相关。国外研究已形成较完整的理论模型和量表体系，而我国研究尚处于起步阶段，存在工具本土化不足、干预证据薄弱及社区嵌入不充分等问题。未来应结合中国社区实际，构建标准化评估工具与多层次干预体系，推动老年群体PFC理念的普及与实践。
Abstract: Hypertension-Diabetes Mellitus (HTN-DM) comorbidity is one of the most common combinations of chronic diseases among older adults, with clinical burdens and functional decline risks significantly higher than those of single-disease patients. Preparation for Future Care (PFC), as a key proactive behavior promoting healthy aging, emphasizes that individuals and families should plan ahead during the stage of good health or early illness, including anticipating potential care needs, gathering relevant information, preparing financial and resource support, communicating within the family, and implementing concrete actions. This review synthesizes international and domestic studies to systematically summarize the theoretical foundations, conceptual connotations, measurement instruments, 33 influencing factors, and intervention strategies related to PFC among older adults with HTN-DM comorbidity. Evidence indicates that higher levels of PFC are closely associated with better self-care ability, improved quality of life, and more appropriate healthcare utilization. While foreign studies have established relatively comprehensive theoretical models and validated scales, research in China remains at an early stage, characterized by insufficient localization of assessment tools, limited intervention evidence, and inadequate integration into community health practice. Future research should focus on developing standardized measurement instruments and multi-level intervention frameworks tailored to Chinese community contexts, thereby promoting the dissemination and practical implementation of the PFC concept among older populations.
文章引用：王金敏, 柴守霞, 赵雯琪, 董丽君, 黄蔷, 刘俊. 社区高血压糖尿病共病老年人未来照顾准备研究进展[J]. 护理学, 2026, 15(4): 103-111. https://doi.org/10.12677/ns.2026.154110

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